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1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022 | |
(864) 342-4000 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1690 Skylyn Dr, Spartanburg, South Carolina |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 277827 Atlanta GA 30384-7827 Ph: (864) 253-8080 | 1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022 Ph: (864) 342-4000 |
NPI Number | 1013152669 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |
Identifier | Type | State | Issuer |
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1013152669 | NPI | - | NPPES |
GP4765 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |